🏋🏻‍♀️ How to train through injury


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Hey Reader,

Here's what to expect in today's issue of The Bulletproof Newsletter:

  • Bulletproof Training Program: Competition 4: Week 2/3
  • How to Continue Improving Performance While Rehabbing an Injury

Make sure to tag me on Instagram when you do this week's workout so I can follow your journey.

Let's dive in!

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This Week's Training

Day 1 - 3/9/2025

A) Deficit Strict HSPU- 20X1; 3 x 8-12; rest 2’ (same deficit)

B1) Weighted Strict Pull Ups - 2010; 3 x 4; rest :60 and move to B2 (progress load)

B2) Weighted Strict Dips - 2010; 3 x 4; rest :60 and move to B1 (progress load)

C) Metcon

8m AMRAP
12 Alternating Dumbbell Clean and Jerks 50/35#
15 Thrusters 95/65#
10 Toes-to-Bar

Be sure to snap a pic of your training and tag @WillMurtagh_DPT on social!

From Instagram This Week​​

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Deep Dive

How to Continue Improving Performance While Rehabbing an Injury

Getting injured doesn’t mean you have to lose the progress you’ve worked hard to build.

You can continue improving your fitness while you recover.

The key is understanding how to adjust your training in a way that keeps you moving forward without aggravating your injury.

You're not stuck choosing between complete rest or pushing through pain.

With the right approach, you can maintain and even improve your performance during rehab.

With intentional, focused training that supports healing, you can continue to improve your performance and build new capacities.

With any injury though it is important to remember to always consult a healthcare professional before starting or modifying any exercise program while injured.

​If you need to you can do so here.

Why Most Athletes Stall Out During Injury

When you're injured, it’s common to either rest completely or switch to workouts that look drastically different from your usual training.

You might avoid most of your typical movements or drastically reduce intensity without a clear plan.

While this can seem like the safest option and in some cases is needed, it often leads to losses in strength, muscle mass, conditioning, and movement skill.

These setbacks make it harder to return to your previous level and can slow down your recovery.

Mentally, this can feel frustrating.

You're still showing up and putting in effort, but without a sense of purpose or direction, motivation fades.

Physically, your body begins to lose the adaptations it once held.

Poorly designed rehab training doesn’t maintain what you’ve built, and in many cases, it delays your ability to return to full training.

A more effective approach supports both healing and performance.

What’s Really at Stake When You Stop Training Properly

When your training plan isn’t properly adjusted after an injury, you don’t just hit pause you start moving backward.

Below are some of the consequences of stalled training:

1. Muscle atrophy

Muscle wasting or atrophy begins quickly when a limb isn’t being loaded.

This loss of muscle mass doesn’t just affect appearance; it decreases force output, joint stability, and metabolic health.

2. Cardiovascular and muscular endurance

All types of endurance also decline rapidly with inactivity.

If you’re used to high-intensity MetCons or longer grinders, that conditioning base can erode quickly making your return to full training feel like starting over.

3. Neuromuscular deconditioning

How much you can activate your nervous system for strength training is another overlooked factor.

Your nervous system loses efficiency in recruiting muscle fibers and coordinating movement when patterns aren’t trained regularly.

This means even familiar lifts or gymnastics work can feel awkward or weak after a break.

4. Mental and emotional cost.

Training often provides structure, confidence, and a sense of identity.

When athletes pull back too far, it can create frustration, fear of re-injury, and a loss of momentum.

Finally, undertraining the injured area can actually prolong the rehab process.

Complete rest may delay tissue adaptation and slow the return of function.

You never want to rush your recovery but you want to train smart so you can come back stronger, faster, and with fewer setbacks.

Principles for Training Through Injury Without Going Backward

Injury doesn’t mean you need to stop training altogether it means your plan needs to evolve.

Here’s how to keep progressing:

1. Adjust Loading and Tempo

If your pain is load-sensitive, reduce the weight and increase time under tension.

Tempo work (e.g. 3-second eccentric, 1-second pause) allows you to maintain intensity without heavy loading.

It builds motor control, reinforces position, and keeps the muscle working hard even under lighter weights.

For example, if heavy back squats irritate your knee, try goblet squats with a 3-1-3 tempo instead.

2. Modify the Movement Don’t Remove It

Eliminating movements entirely leads to deconditioning and skill loss.

Instead, find variations that respect your injury and keep you training the pattern.

That might mean switching from full ROM to partial, barbell to dumbbell, or back squats to front squats.

Maintaining similar movement mechanics preserves neural pathways and sets you up for a smoother return to full range training.

3. Train the Opposite Limb

The cross-education effect is real: training one side of the body helps maintain strength and neuromuscular connection in the injured side.

For example, if your left arm is in a sling, unilateral pressing and pulling with the right can reduce atrophy and speed your return to bilateral work.

4. Use Isometrics to Retain Capacity in the Injured Limb

If dynamic movement causes pain, isometrics offer a safe way to load tissue.

They can reduce pain and preserve tendon and joint capacity.

Think long-hold wall sits for knee issues or static holds like planks or suitcase carries when movement aggravates the injury.

Just make sure they’re pain-free and appropriately dosed.

5. Shift Your Training Focus Temporarily

Use this time to double down on an area that’s often neglected.

Lower body injury?

Work upper body gymnastics, ring support holds, handstand progressions, or rowing intervals.

Upper body injury?

Lean into sled pushes, running, biking, or single-leg strength work.

You can exit rehab a more well-rounded athlete not just “back to where you were.”

Wrapping Up on Training Through Injury

An injury doesn’t mean you have to stop improving it just means your focus needs to shift.

The goal isn’t to “wait it out” and hope you don’t lose too much ground.

It’s to train with purpose, adapt your plan, and come back more well-rounded than before.

Whether it’s building capacity in new areas, refining movement patterns, or maintaining strength through smart variation, progress is always possible.

Don’t let injury turn into stagnation.

Stay proactive, train intelligently, and use the tactic above that best suits our situations and keep pushing our performance higher even through injury.

When you're ready, here's how I can help you

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Talk to you soon, Reader!

Dr. Will Murtagh, PT, DPT, MS, CSCS, CISSN

Physical Therapist | Remote Fitness Coach

P.S. Click here for a free consultation to work with me 1:1 to add 5–15+ lbs to your lifts, resolve joint pain, and gain 3–5+ lbs of muscle in 12 weeks.

155 Mill Road, North Haven, CT 06473
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